Provider Demographics
NPI:1689091456
Name:GUARDIAN ANGELS HOMECARE INC
Entity Type:Organization
Organization Name:GUARDIAN ANGELS HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SUEVERKRUEPP
Authorized Official - Suffix:
Authorized Official - Credentials:CNA,MA
Authorized Official - Phone:402-474-4000
Mailing Address - Street 1:3200 O ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1510
Mailing Address - Country:US
Mailing Address - Phone:402-474-4000
Mailing Address - Fax:775-305-2470
Practice Address - Street 1:3200 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1510
Practice Address - Country:US
Practice Address - Phone:402-474-4000
Practice Address - Fax:775-305-2470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care